Active NPI
Kimberly L Marks, LCSW
- Clinical Social Worker
- Saratoga Springs, NY
National Provider Identifier
1437107323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R053831-1
- Practice address
- 4 Franklin Square,
Suite D
Saratoga Springs, NY 12866 - Phone
- (518) 581-9250
- Fax
- (518) 581-9250
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R053831-1 | NY | Primary |
Addresses
Primary practice location
4 Franklin Square,
Suite D
Saratoga Springs, NY 12866
Mailing address
146 Woodlawn Ave.
Saratoga Springs, NY 12866
Phone (518) 581-9250
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 544548000 | Other | NY | MAGELLAN |
| 100066834002 | Other | NY | APS HEALTHCARE |
| 142324 | Other | NY | VALUE OPTIONS |
| 040722000095 | Other | NY | FIDELIS |
| 362385 | Other | NY | MVP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R053831-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of Saratoga, Warren and Washington Counties | Past | Accepting new patients | |
| Saratoga Stress Reduction Program | Clinical | Past | Accepting new patients |
| Bader Family Chiropractic, PLLC | Past | Accepting new patients | |
| Catholic Charities of Diocese of Albany | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Saratoga Springs, NY
- NPI 1326313107
-
- Voluntary or Charitable Agency
- Glens Falls, NY
- NPI 1245369495
-
- Foster Care Agency
- Ballston Spa, NY
- NPI 1174982961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1437107323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 WOODLAWN AVE.",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "12866",
"telephone_number": "518-581-9250",
"fax_number": "518-581-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 FRANKLIN SQUARE,",
"address_2": "SUITE D",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "12866",
"telephone_number": "518-581-9250",
"fax_number": "518-581-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "KIMBERLY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R053831-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "544548000",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS HEALTHCARE",
"identifier": "100066834002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "142324",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040722000095",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "362385",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.